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Wyoming rates for HCPCS 75635

Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing

Facilitymedian $110 · 10th–90th $110–$1100%50%100%$110Professionalmedian $263 · 10th–90th $110–$8130%10%10th90th$263$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$109.65 / $109.65 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $426.58 / $616.60
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $125.89 / $263.03
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $257.04 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,659.59 / $1,659.59
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$288.40 / $446.68 / $446.68
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$794.33 / $1,202.26 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $741.31 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$158.49 / $234.42 / $416.87
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$380.19 / $501.19 / $1,047.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $794.33 / $1,737.80
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $208.93 / $371.54
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $602.56 / $1,348.96